anatomia

2 8 0 Jornal de Pediatria - Vol. 70, Nº5, 1994
0021-7557/94/70-05/280
Jornal de Pediatria
Copyright © 1994 by Sociedade Brasileira de Pediatria

ARTIGO ORIGINAL

História clínica e alimentar de crianças atendidas em ambulatório de gastroenterologia pediátrica (GEP) com constipação intestinal crônica funcional (CICF) e suas possíveis complicações
Clinical and alimentary history of children attending a pediatric gastroenterology outpatient clinic with functional chronic constipation and its possible complications
Helga V.L. Maffei1, Flávio L. Moreira2, Miriam Kissimoto3,
Sueli M.F. Chaves4, Samia El Faro5 e André M. Aleixo3

Abstract
In order to better understand the natural history of chronic functional constipation, a questionary was applied to 163 children and infants, before beginning standardized treatment.
Median age (range) at start was 3mo(0-108mo) but age at arrival at the Pediatric Gastroenterology Unit was 53mo(2-146mo). In
62,4% of the cases symptoms began before or up to 3mo after cow’s milk introduction and rarely around (±6mo) toilet training. Possible complications appeared progressively, often at preschool or school age or as the first noticeable manifestation: recurrent abdominal pain (61,1%), fecal soiling (45,4%), fecal blood (35%), enuresis (23,3%), vomiting (19%), urinary infection (17,9%), urinary retention (8,6%). Abdominal distension was rarely detected on physical examination and was usually discrete. In conclusion, children attended in Botucatu begin their constipation at an early age, frequently associated with weaning, and important complications may ensue along years. This evolution should be avoided by prevention and early treatment of constipation. J. pediatr. (Rio J.). 1994; 70(5):280-286: constipation, child,

Resumo
A fim de melhor entender a história natural da CICF, aplicouse questionário a 163 crianças, antes do início de tratamento padronizado em ambulatório de GEP. A idade de início foi